1.A clinical study of the children's ankle fracture.
Chang Uk CHOI ; Byung Ill LEE ; Byung Joon SHIN ; You Sung SUH ; Suk Ho LEE
The Journal of the Korean Orthopaedic Association 1991;26(3):789-796
No abstract available.
Ankle Fractures*
;
Ankle*
2.Tuberculous Lesion after Local Steroid Injections
Se Il SUK ; Byung Joon SHIN ; Seung Ik CHA ; Suk Joo LYU
The Journal of the Korean Orthopaedic Association 1988;23(2):568-574
Local steroid injection is applied for the various problems in orthopaedic fields. Its not well known whether local steroid injection can induce or aggrevate the tuberculous lesion of the injection site. Tuberculous lesion of the shoulder and posterior compartment of the lumbar spine is rare, but rather commonly noted in the steroid injection group. Fifteen patients of tuberculous lesion(8 in shoulder and 7 in posterior compartment of the lumbar spine) after local steroid injection were treated surgically at the Department of the Orthopaedic Surgery, College of Medicine, Seoul National University, from Jan. 1980 to Agu. 1986, and following results were obtained; 1. The highest incidence was in the 6th decade and male to female ratio was 2: 13. 2. The average number of the injection was 16 times and the average duration was 6 months. 3. The duration from the last steroid injection to the first sign of the tuberculous lesion was from 2 weeks to 3 months and average 2.4 months. 4. Of the 15 cases, active tuberculous lesion at other sites were associated in 6 patients. 5. All cases were treated by complete curettage. It took 5.2 months for the primary wound healing. 6. Local steroid injection could induce or aggrevate the local tuberculous lesion. Radical extirpation of the lesion is the treatment of choice, but with high recurrence rate.
Curettage
;
Female
;
Humans
;
Incidence
;
Male
;
Recurrence
;
Seoul
;
Shoulder
;
Spine
;
Tuberculosis
;
Wound Healing
3.A clinical Study on the Fractures of the Femoral Neck in Children
Dong Ho SUK ; Kyoo Ho SHIN ; Jang Suk CHOI ; Byung Jik KIM ; Young Goo LEE
The Journal of the Korean Orthopaedic Association 1989;24(2):443-452
Most obviuos will be the several anatomic differences between the proximal femur of the child and the adult. Fractures of the femoral neck in the children are extremely rsre and usually are the result of severe trauma in 80% of the cases. This accounts for the high frequency of serious associated injuries. In this injury the vascular anatomy changing with age, continuing growth potential and the effect of deforming forces play critical roles in high complication rate and these make treatment difficult. But still any secure guidelines for the treatment of this injury are not established and this is a field which requires more active research and further progress in future. 26 cases treated at Paik Hospital from Jan. 1979 to June 1988 were analyzed in clinical and radiological aspect and the following results were obtained. 1. The commonest type was Cervicotrochanteric fracture in 13 cases(50%),displaced one 21 cases. 2. In Transepiphyseal, Transcervical and Cervicotrochanteric fracture by early reduction and internal fixation, and in Intertrochanteric fracture by conservative treatment we gained satisfactory results. 3. We experienced 2 cases of coxa vara in nonthreaded pin used cases, 4 cases of premature epiphseal closure and 4 cases of avascular necrosis in threaded pin used ones. 4. Complications were developed in 13 cases (50%). These were 5 cases of coxa vara(19.2%) 4 cases of premature epiphyseal closure (15.4%) and 4 cases of avascul necrosis (15.4%). 5. Avascykar necrosis was developed in displaced fracture of Transcervical or Cervico- trochanteric fracture beyond postoperative 1 year. So. we recommend periodic long follow up for evaluation of avascular necrosis.
Adult
;
Child
;
Clinical Study
;
Coxa Vara
;
Femur
;
Femur Neck
;
Follow-Up Studies
;
Hip
;
Humans
;
Necrosis
4.Extraspinal Tuberculosis of Bone and Joint
Byung Jik KIM ; Han Suk KO ; Jeong Gook SEO ; Suk Kyu CHOO ; Jae Kie SHIN
The Journal of the Korean Orthopaedic Association 1995;30(2):430-436
Recently, tuberculosis of bone and joint is decreased with good nutrition and environment, development of preventive medicine and improvement of treatment regimen. But it is still one of the common inflammatory diseases in Korea, and must be considered in the differential diagnosis of common orthopedic complaints. There are few reports on extraspinal tuberculosis of bone and joint. Forty one cases of extraspinal tuberculosis of bone and joint were studied in our department from January 1988 to August 1993. The results were as follows; l. Extraspinal tuberculosis of bone and joint were 41 cases (39 patients, 27.8% of 147 tuberculosis of bone and joint including spine). 2. The proportion of children and young adults was 56%, hips were involved in 11 cases, knee joints in 8 cases, ankle joints in 6 cases, feet in 6 cases and elbow joints in 5 cases. 3. Coexisting pulmonary tuberculosis was found in 19 patients and active lesion in 15 patients. 4. Confirmative diagnosis could be made by smear and culture of the lesion or pathologic findings or recently available polymerase chain reaction(PCR) method. 5. Various treatment, such as antituberculous medication, external immobilization, synovectomy, curettage and bone graft, arthrodesis, had been carried out. 6. Reactivation of other site was found in 7.3%(3 cases) and resistant tendency was found in 9.7%(4 cases).
Ankle Joint
;
Arthrodesis
;
Child
;
Curettage
;
Diagnosis
;
Diagnosis, Differential
;
Elbow Joint
;
Foot
;
Hip
;
Humans
;
Immobilization
;
Joints
;
Knee Joint
;
Korea
;
Methods
;
Orthopedics
;
Preventive Medicine
;
Transplants
;
Tuberculosis
;
Tuberculosis, Pulmonary
;
Young Adult
5.The Erectile Response to Intracavernosal Injection of Prostaglandin E1 in Spinal Cord Injured Men.
Kee Kyung KIM ; Bum Suk LEE ; Byung Sik KIM ; Byung Soon SHIN
Journal of the Korean Academy of Rehabilitation Medicine 1999;23(4):762-769
OBJECTIVE: To study the erectile response to intracavernosal injection of prostaglandin E1 in 33 spinal cord injured men with neurogenic erectile dysfunction. METHOD: The erectile response was assessed by the penile palpation. Thirty three subjects (mean age, 35.5 years) were studied. They received a testing dosage starting from 2.5 microgram with increasing dosage (maximum 40 microgram) to achieve an erection. The positive response accounts for the sufficient erection lasting for more than 30 minutes. RESULTS: After the injection, 30 subjects (90.9%) achieved the positive response and the mean duration of erection was 59.2 minutes. Of the 30 positive responders, the mean dosage needed to induce positive response was 5.8 microgram in the patients with cervical cord injury (12 subjects), 13.1 microgram in the patients with thoracic cord injury (12 subjects), and 33.3 microgram in the patients with lumbar cord injury (6 subjects). The mean dosage required for the positive response was different according to the pre-injection erectile function of the subjects. For the positive response, it required 7.7 microgram in a full erection with short duration group (14 subjects), 9.4 microgram in a partial erection group (8 subjects), and 30.6 microgram in no erection group (8 subjects). No systemic side effect or complication was noted except for the prolonged erection in 1 subject. CONCLUSION: The intracavernosal injection of prostaglandin E1 appears to be a safe and effective treatment for the treatment of erectile dysfunction in spinal cord injured men. The dosage depends on the level of spinal cord injury and pre-injection erectile function.
Alprostadil*
;
Erectile Dysfunction
;
Humans
;
Male
;
Palpation
;
Spinal Cord Injuries
;
Spinal Cord*
6.Postoperative Complications of Peritrochanteric Fractures in Elderly over 65 years
Byung Jik KIM ; Han Suk KO ; Jeong Gook SEO ; Suk Kyu CHOO ; Ik Kyu CHOI ; Jae Kie SHIN
The Journal of the Korean Orthopaedic Association 1994;29(7):1806-1812
The mortality and morbidity of peritrochanteric fractures in the elderly are great due to preexisting diseases, the osteoporosis, and poor general conditions. Since the complications sometimes lead to death, it is utmost important to reduce the complications and to prevent them. Authors had experienced 42 peritrochanteric fractures over 65 years old from January, 1988 to December, 1992. Age incidence was distributed from 65 to 93 years. The sites of fractures were 17 femoral neck, 24 intertrochanteric, 1 subtrochanteric. The mortality at postoperative 6 months was 10.2%. The postoperative complications were 6 cardiovascular diseases, 3 pneunonia, 3 pressure sore etc. The results according to interval between injury and operation were not significant, but reducing risk factors following check-up of general conditions was significant. It was necessary in treatment of elderly peritrochanteric fractures to check the general conditions, to reduce risk factors, to choose appropriate method of operation and anesthesia, and to operate as soon as possible by experienced surgeon. Postoperative early ambulation was also significant at good results. The percutaneous pinning under local anesthesia was an recommendable method in patients with severely poor general conditions.
Aged
;
Anesthesia
;
Anesthesia, Local
;
Cardiovascular Diseases
;
Early Ambulation
;
Femur Neck
;
Humans
;
Incidence
;
Methods
;
Mortality
;
Osteoporosis
;
Postoperative Complications
;
Preexisting Condition Coverage
;
Pressure Ulcer
;
Risk Factors
7.Clozapine Induced Neuroleptic Malignant Syndrome.
Yong Suk JO ; Hyung Ah JO ; Byung Chul YU ; Jung Hoon SHIN ; Kook Hwan OH
Korean Journal of Critical Care Medicine 2017;32(3):291-294
Neuroleptic malignant syndrome is a rare, but potentially life-threatening adverse event associated with the use of neuroleptic agents. We describe the case of a 47-year-old schizophrenic woman who was treated with clozapine for years. The patient developed acute renal failure with pulmonary edema, and underwent mechanical ventilation and hemodialysis.
Acute Kidney Injury
;
Antipsychotic Agents
;
Clozapine*
;
Female
;
Humans
;
Middle Aged
;
Neuroleptic Malignant Syndrome*
;
Pulmonary Edema
;
Renal Dialysis
;
Respiration, Artificial
;
Rhabdomyolysis
8.Treatment of Unstable thoracic and Lumbar Spine Fracture with Harrington Segmental Spinal Instrumentation (SSI)
Se Il SUK ; Byung Joon SHIN ; Chong Suh LEE ; Myung Chul LEE
The Journal of the Korean Orthopaedic Association 1988;23(4):1049-1058
This is a retrospective clinical and roentgenographic study to measure the correction of deformity and rigidity of Harrington SSI in the stabilization of unstable thoracic and lumbar spine fractures. 35 patients with unstable thoracic and lumbar spine fracture were treated with Harrington SSI from Feb. 1985 to Mar. 1987 in SNUH and 29 patients were followed up for more than 1 year, average 15.6 months. At final follow up of these 29 patients, 73.1% of patients gained neurologic improvement. Measurement of correction of anterior, middle and posterior column height, local kyphosis and anteroposterior offset were 29.7%, 5.2%, 31.2%, 12.8°and 5.3mm and loss of correction of these were 6.5%, 0.1%, 5.8%, 3.1°and 1.1 mm.
Congenital Abnormalities
;
Follow-Up Studies
;
Humans
;
Kyphosis
;
Retrospective Studies
;
Spine
9.A Case of Bilateral Pneumothorax In a Scoliosis with Marfan's Syndrome
Se Il SUK ; Byung Joon SHIN ; Kwan Hee LEE ; Joo Hyun KIM
The Journal of the Korean Orthopaedic Association 1988;23(6):1549-1553
Scoliosis has been reported in 40 to 60 percent of patients with Marfsn's syndrome. The tensile strength of tissues in which the collagen is a major component has been to be reduced in this disease. An abnormality of cross-linking in the α2(I) peptide chain of collagen is the simplest explanation for this observation. We experienced a case of scolisis with Marfan's syndrome in whom Cotrel-Dubousset instrumentation was csrried out successfully and bilateral pneumothorax was observed in 10 days postoperatively. The occurrence of this complication, which has not been previously reported in the literature, suggests that excessive distractional and rotational force during procedure may be harzsrdous in the patient with intrinsic collagen weakness.
Collagen
;
Humans
;
Marfan Syndrome
;
Pneumothorax
;
Scoliosis
;
Tensile Strength
10.Loss of Heterozygosity of Chromosome 3p in Squamous Cell Carcinomas and Adenocarcinomas of the Lung.
Gyeong Shin PARK ; Young Shin KIM ; Kyo Young LEE ; Chang Suk KANG ; Sang In SHIM ; Byung Kee KIM
Korean Journal of Pathology 1999;33(3):151-157
We evaluated the frequency of genetic alteration of chromosome 3p in lung cancer, and analyzed the patterns of genetic alterations between two distinct histologic types, squamous cell carcinomas (SCC) and adenocarcinomas (AC). PCR-LOH analysis for 40 Korean non-small cell lung cancer including 20 SCC and 20 AC was performed using microsatellite markers, D3S1300, D3S1029 and D3S1038. These markers represented the loci of FHIT gene (3p14), mismatch repair gene hMLH1 (3p21) and VHL gene (3p25), respectively. For SCC, the frequency of LOH at D3S1300, D3S1029 and D3S1038 was 78.6%, 61.5% and 64.3%, and for AC, was 62.5%, 62.5% and 46.7%, and for total 40 cases of SCC and AC, was 70.0%, 62.1% and 55.2%, respectively. Among 27 cases showing heterozygosity at three examined loci, 7 cases (25.9%) revealed LOH at only one locus and 16 cases (59.3%) revealed LOH at two or three loci. The differences of incidence of LOH and the patterns of genetic alterations at chromosome 3p between two distinct histologic types of lung cancer were not significant. The genetic deletion of relatively broad area, including more than two loci, was more frequent than that of small area, including only one locus.
Adenocarcinoma*
;
Carcinoma, Non-Small-Cell Lung
;
Carcinoma, Squamous Cell*
;
DNA Mismatch Repair
;
Incidence
;
Loss of Heterozygosity*
;
Lung Neoplasms
;
Lung*
;
Microsatellite Repeats